Non small cell lung cancer medical therapy stage I: Difference between revisions

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Latest revision as of 23:18, 23 February 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]Maria Fernanda Villarreal, M.D. [3]

Overview

Therapies for non-small cell lung cancer stage I include surgery, radiation therapy, or surgery and chemotherapy (if the tumor size is larger than 4cm).

Management Approach for Stage I Non-Small Cell Lung Cancer

Shown below is the algorithm on the treatment of the stage I non-small cell lung cancer based on the 2014 NCCN Non-Small Cell Lung Cancer guidelines.^[1]

Is the tumor central or peripheral?

Peripheral

Central

Is the tumor T1 or T2a?

T1ab, N0

T2a, N0

T1ab-2a, N0

Perform a pretreatment evaluation

If not done, perform pulmonary function tests
Perform bronchoscopy (if possible intraoperative)
Perform a pathological lymph node evaluation
If not done, order PET scan or CT scan

Perform a pretreatment evaluation

If not done, perform pulmonary function tests

Perform bronchoscopy (if possible intraoperative)

Perform a pathological lymph node evaluation

If not done, order PET scan or CT scan

Does the pathological evaluation showed positive disease in the mediastinal lymph nodes?

Yes

No

Yes

No

Click here for the stage III treatment

Is the tumor operable?

Click here for the stage III treatment

Is the tumor operable?

Yes

No

Yes

No

Surgical resection + lymph node dissection

stereotactic ablative radiation therapy

Surgical resection + lymph node dissection

Does the patient presents metastasis to ipsilateral peribronchial and/or hiliar nodesand intrapulmonar nodes (N1)?

Yes

No

chemotherapy + radiation therapy

stereotactic ablative radiation therapy
Adjuvant chemotherapy should be added for high-risk stages

References

↑ http://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf

[NCCN-1] ttp://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Non small cell lung cancer}}
+{{CMG}}; {{AE}} {{Alonso}}{{MV}}
-{{CMG}}; {{AE}} {{Alonso}}
 ==Overview==
+Therapies for non-small cell lung cancer stage I include [[surgery]], [[radiation therapy]], or [[surgery]] and [[chemotherapy]] (if the tumor size is larger than 4cm).
-==Medical Therapy for Stage I Non-Small Cell Lung Cancer==
+==Management Approach for Stage I Non-Small Cell Lung Cancer==
 Shown below is the algorithm on the treatment of the stage I non-small cell lung cancer based on the 2014 NCCN Non-Small Cell Lung Cancer guidelines.<ref name="NCCN">http://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf</ref>
 {{familytree/start}}
-{{familytree | | | | | | | | | | A01 | | |A01=In the [[tumor]] central o peripheral?}}
+{{familytree | | | | | | | | | | A01 | | |A01=Is the [[tumor]] central or peripheral?}}
 {{familytree | | | | | | |,|-|-|-|^|-|-|.| | | | |}}
 {{familytree | | | | | | B01 | | | | | B02 | | | B01=Peripheral|B02=Central}}
@@ Line 34: / Line 34: @@
 {{familytree | G01 | | G02 | | G03 | | G04 | | G01=Yes|G02=No|G03=Yes|G04=No}}
 {{familytree | |!| | | |!| | | |!| | | |!| | | |}}
-{{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=[[Non small cell carcinoma of the lung medical therapy stage III|Click here for the stage III treatment]]|H02=Is the tumor operable?|H03=[[Non small cell carcinoma of the lung medical therapy stage III|Click here for the stage III treatment]]|H04=Is the tumor operable?}}
+{{familytree | H01 | | H02 | | H03 | | H04 | | | | H01=[[Non small cell lung cancer medical therapy stage III|Click here for the stage III treatment]]|H02=Is the [[tumor]] operable?|H03=[[Non small cell lung cancer medical therapy stage III|Click here for the stage III treatment]]|H04=Is the tumor operable?}}
 {{familytree | | | |,|-|^|-|.| | | |,|-|^|-|.| | |}}
 {{familytree | | | I01 | | I02 | | I03 | | I04 | | | I01=Yes|I02=No|I03=Yes|I04=No}}
 {{familytree | | | |!| | | |!| | | |!| | | |!| | | |}}
-{{familytree | | | J01 | | J02 | | J03 | | J04 | | | J01=Surgical resection + [[lymph node]] dissection|J02=[[Non small cell carcinoma of the lung medical therapy radiation therapy|Radiation therapy with stereotactic ablative radiotherapy]]|J03=Surgical resection + [[lymph node]] dissection|J04=Does the patient presents metastasis to ipsilateral peribronchial and/or hiliar nodesand intrapulmonar nodes (N1)?}}
+{{familytree | | | J01 | | J02 | | J03 | | J04 | | | J01=Surgical resection + [[lymph node]] dissection|J02=[[Non small cell lung cancer radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]]|J03=Surgical resection + [[lymph node]] dissection|J04=Does the patient presents metastasis to ipsilateral peribronchial and/or hiliar nodesand intrapulmonar nodes (N1)?}}
 {{familytree | | | | | | | | | | | | | |,|-|^|-|.| | |}}
 {{familytree | | | | | | | | | | | | | K01 | | K02 | | |K01=Yes|K02=No}}
 {{familytree | | | | | | | | | | | | | |!| | | |!| | | |}}
-{{familytree | | | | | | | | | | | | | L01 | | L02 | | | L01=[[Non small cell carcinoma of the lung chemotherapy|Chemotherapy]] + [[Non small cell carcinoma of the lung radiation therapy|radiation therapy]]|L02=[[Non small cell carcinoma of the lung medical therapy radiation therapy|Radiation therapy with stereotactic ablative radiotherapy]]<br>Adjuvant [[Non small cell carcinoma of the lung chemotherapy|Chemotherapy]] should be added for high-risk stages}}
+{{familytree | | | | | | | | | | | | | L01 | | L02 | | | L01=[[Non small cell lung cancer chemotherapy#Chemotherapy plus radiation therapy|chemotherapy + radiation therapy]]|L02=[[Non small cell lung cancer radiation therapy#Stereotactic Ablative Radiotherapy Usual Dosage|stereotactic ablative radiation therapy]]<br>Adjuvant [[Non small cell lung cancer chemotherapy|chemotherapy]] should be added for high-risk stages}}
 {{familytree/end}}
@@ Line 52: / Line 52: @@
 [[Category:Pulmonology]]
 [[Category:Lung cancer]]
+ [[Category:Up-To-Date]]
 [[Category:Oncology]]
+[[Category:Medicine]]
-{{Tumors}}
+[[Category:Pulmonology]]
+[[Category:Surgery]]

Non small cell lung cancer medical therapy stage I: Difference between revisions

Latest revision as of 23:18, 23 February 2018

Overview

Management Approach for Stage I Non-Small Cell Lung Cancer

References

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